ANNALA J. SHIRLEY (NP-C) – Nurse Practitioner, NPI 1215468129

ANNALA J. SHIRLEY (NP-C) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. AP133662 (TX). The NPI Number for ANNALA J. SHIRLEY (NP-C) is 1215468129

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ANNALA J. SHIRLEY (NP-C)
NPI
1215468129
Phone
(903) 877-7635
Address
PO BOX 731912
Enumeration Date
22 March 2017
Last Update Date
18 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883390906
Graduation Year
2017 (9 years ago)
PAC ID
1557631272
Group Practice PAC ID
9931532116
Professional Enrollment ID
I20170727002807
Address ID
TX757032358TY4801XHWYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

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Provider Addresses for ANNALA J. SHIRLEY (NP-C)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 753731912

    Phone: (903) 877-7635

    Fax: (903) 877-7754

    Type: Mailing

  • 721, Clinic Drive, Tyler, Smith County, Texas, 75701, United States

    STE A

    TYLER, TX 757012043

    Phone: (903) 595-7014

    Fax: (903) 526-0629

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $2,496.

Total Amount is formed as General ($2,496) + Research ($0) + Ownership ($0) = $2,496.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Janssen Scientific Affairs, LLC ($265).

Total Amount

$2,496

General + Research + Ownership

Payments

89

Total payment records

General Amount

$2,496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170727002807INurse PractitionerTXTBD
I20241113004406INurse PractitionerLATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes119104$0
99215Established patient office or other outpatient visit, 40-54 minutes4239$0
View full utilization report →

Insurance plans in this area (ZIP 75373)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931532116View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerLA
Nurse PractitionerLA
Nurse PractitionerTX
Nurse PractitionerLA
Nurse PractitionerLA
Nurse PractitionerLA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerLA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What number should I use to identify ANNALA J. SHIRLEY (NP-C) for billing?
Administrative and clinical systems typically use NPI 1215468129 for ANNALA J. SHIRLEY (NP-C).
Quick check: is ANNALA J. SHIRLEY (NP-C) active?
Public NPPES data shows ANNALA J. SHIRLEY (NP-C) with an active NPI status right now.
What type of care does ANNALA J. SHIRLEY (NP-C) provide?
ANNALA J. SHIRLEY (NP-C)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ANNALA J. SHIRLEY (NP-C) tied to Dallas, Texas?
If you are local to Dallas, Texas, ANNALA J. SHIRLEY (NP-C) may be relevant to your search.
Who maintains ANNALA J. SHIRLEY (NP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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